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A client with open-angle glaucoma asks the nurse how long the prescribed eye drops will need to be used. Which response made by the nurse is accurate?

A.

For long-term control of normal eye pressure.

B.

Until a smaller angle can be restored.

C.

For long-term control of pain and swelling.

D.

Until the excess pressure is reduced.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

For long-term control of normal eye pressure is the accurate response. Open-angle glaucoma is a chronic condition that requires ongoing treatment to maintain normal intraocular pressure and prevent further damage to the optic nerve. Eye drops are typically used for life to manage the condition.

 

Choice B rationale

 

Until a smaller angle can be restored is not accurate because open-angle glaucoma does not involve a change in the angle of the anterior chamber. The goal of treatment is to lower intraocular pressure, not to restore the angle.

 

Choice C rationale

 

For long-term control of pain and swelling is not accurate because open-angle glaucoma primarily involves increased intraocular pressure and optic nerve damage, not pain and swelling. The goal of treatment is to lower intraocular pressure.

 

Choice D rationale

 

Until the excess pressure is reduced is not accurate because open-angle glaucoma requires ongoing treatment to maintain normal intraocular pressure. Stopping treatment once pressure is reduced can lead to a recurrence of elevated pressure and further damage.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Hematemesis, or vomiting blood, is a critical sign of bleeding esophageal varices, which can be life-threatening. Clients with chronic cirrhosis and esophageal varices are at high risk for variceal bleeding due to increased portal hypertension. Monitoring for hematemesis is essential to provide timely intervention and prevent complications.

Choice B rationale

Anorexia, or loss of appetite, is a common symptom in clients with chronic liver disease, but it is not the most critical problem to monitor in clients with esophageal varices. The primary concern is the risk of variceal bleeding.

Choice C rationale

Clay-colored stool indicates a lack of bile in the stool, which can occur in liver disease. However, it is not the most critical problem to monitor in clients with esophageal varices. The primary concern is the risk of variceal bleeding.

Choice D rationale

Brown, foamy urine can be a sign of liver dysfunction, but it is not the most critical problem to monitor in clients with esophageal varices. The primary concern is the risk of variceal bleeding.

Correct Answer is A

Explanation

Choice A rationale

Reviewing with the client the need to avoid foods rich in milk and cream is crucial. Dairy products can increase gastric acid secretion, which can exacerbate duodenal ulcers.

Choice B rationale

Suggesting frequent small meals can help reduce discomfort but does not address the issue of dairy products exacerbating the ulcer.

Choice C rationale

Switching to decaffeinated coffee and tea is beneficial but not as critical as avoiding dairy products.

Choice D rationale

Reinforcing teaching by asking the client to list dairy foods does not address the need to avoid these foods.

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